title: Organ-sparing surgery is the treatment of choice in benign testicular tumors.
abstract: OBJECTIVE
  Ablation of the testis has been the reference standard for malignant and benign testicular tumors in the past. Nowadays, an organ-sparing surgery (OSS) can be attempted in special cases. Removal of a testis for a benign lesion should be avoided. In this retrospective survey, we analyze the results and long-term follow-up of OSS in benign testicular tumors.
  
  
  METHODS
  Charts of all patients that underwent OSS because of a benign testicular tumor between 1999 and 2011 at our department were searched and the data from patients were collected. Before surgery, all patients underwent ultrasound (US) and complete staging. Surgery was performed under US or palpation guidance. Frozen-section examination of the tumor and tumor bed biopsies was obtained. All patients underwent postoperative follow-up. We retrospectively reviewed surgical technique, histology, epidemiology, and outcome in all patients.
  
  
  RESULTS
  In the study period, 40 benign testicular tumors were surgically removed in 37 consecutive patients. Definitive histology did not report of any malignant histopathologic features in all patients. All patients are free of disease after a mean follow-up of 63 months (range 10-120). During this period, two patients developed a second leydig cell tumor (LCT) on the contralateral side; another patient had a second LCT within the same testicle, but on the opposite pole. All patients underwent a subsequent organ-sparing tumor resection.
  
  
  CONCLUSIONS
  An overtreatment for benign testicular tumors should be avoided. Our initial results indicate that OSS in benign tumors is a safe, feasible treatment for patients.
authors.affiliation: Department of Urology, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria, Nicolai.Leonhartsberger@i-med.ac.at.
authors.forename: Nicolai
authors.initials: N
authors.lastname: Leonhartsberger
authors.forename: Renate
authors.initials: R
authors.lastname: Pichler
authors.forename: Brigitte
authors.initials: B
authors.lastname: Stoehr
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Horninger
authors.forename: Hannes
authors.initials: H
authors.lastname: Steiner
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000601:surgery*; D009919:Orchiectomy / Q000379:methods*; D059351:Organ Sparing Treatments / Q000379:methods*; D011788:Quality of Life; D015203:Reproducibility of Results; D012189:Retrospective Studies; D013736:Testicular Neoplasms / Q000601:surgery*; D013737:Testis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D014463:Ultrasonography; D055815:Young Adult